A5020923401- Intracranial Aneurysms: Treatment and Complications
- Vascular Malformations Diagnosis and Treatment
- Meningioma and schwannoma management
- Cerebrospinal fluid and hydrocephalus
- Cerebrovascular and Carotid Artery Diseases
- Spinal Dysraphism and Malformations
- Head and Neck Surgical Oncology
- Spinal Fractures and Fixation Techniques
- Spine and Intervertebral Disc Pathology
- Moyamoya disease diagnosis and treatment
- Cervical and Thoracic Myelopathy
- Aortic Disease and Treatment Approaches
- Fetal and Pediatric Neurological Disorders
- Retinal and Macular Surgery
- Family and Disability Support Research
- Trauma and Emergency Care Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Heterotopic Ossification and Related Conditions
- Cerebral Venous Sinus Thrombosis
- Vascular Malformations and Hemangiomas
- Trigeminal Neuralgia and Treatments
- Teratomas and Epidermoid Cysts
- Cardiac Arrest and Resuscitation
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
2018-2024
Ospedale Maggiore
2020-2021
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
2021
University of Cincinnati Medical Center
2016-2017
Cincinnati Children's Hospital Medical Center
2017
University of Pittsburgh Medical Center
2017
Neurological Surgery
2017
University of Cincinnati
2016-2017
Hôpital Lariboisière
2017
Mayfield Brain & Spine
2017
BACKGROUND AND OBJECTIVES: Microsurgical aneurysm repair by clipping continues to be highly important despite increasing endovascular treatment options, especially because of inferior occlusion rates. This study aimed present current global microsurgical practices and identify risk factors for complications neurological deterioration after unruptured anterior circulation aneurysms. METHODS: Fifteen centers from 4 continents participated in this retrospective cohort study. Consecutive...
BACKGROUND AND OBJECTIVES: Benchmarks represent the best possible outcome and help to improve outcomes for surgical procedures. However, global thresholds mirroring an optimal reachable microsurgical clipping of unruptured intracranial aneurysms (UIA) are not available. This study aimed define standardized benchmarks in patients who underwent UIA. METHODS: A total 2245 microsurgically treated UIA from 15 centers were analyzed. Patients categorized into low- (“benchmark”) high-risk...
We present here a rare case of heterotopic ossification in interspinous/interlaminar Coflex device. The classical surgical indications for these implants are degenerative canal stenosis, discogenic low back pain, disk herniations, facet syndrome, and instability. However, fractures spinous processes potential risk after devices’ implantation. Recently, ossification, well-known complication hip knee arthroplasty, has been reported cervical lumbar prosthesis. performed undercutting...
Atlantoaxial rotatory dislocation (AARD) is a rare complication in adults usually leading to pain, spinal cord injury, or death. Clinical and radiological diagnosis difficult often delayed. We report case of posttraumatic AARD neurological intact 27-year-old male which initial radiographic evaluation was negative. A computed tomography (CT) scan promptly done because the patient showed severe torticollis. Therefore, early diagnosis, immobilisation, surgical fusion arthrodesis were performed....
(1) Background: The issue of unsuccessful surgery for Chiari-1 malformation (CM-1), as well its potential causes and possible solutions, remains poorly documented studied. (2) Methods: From a retrospective review personal series 98 patients undergoing treatment CM-1 during the past 10 years, we created two study groups. Group 1: 8 (8.1%) requiring additional surgeries owing to postoperative complications (7 cerebrospinal fluid leakage, 1 extradural hematoma); 7 (7.1%) reoperations failed...
Abstract BACKGROUND Although the term paraclival carotid pervades recent skull base literature, no clear consensus exists regarding boundaries or anatomical segments. OBJECTIVE To reconcile various internal artery (ICA) nomenclatures for transcranial and endoscopic-endonasal perspectives, we reexamined transition between lacerum (C3) cavernous (C4) segments using a C1-C7 schema. In this cadaveric study, obtained 360°-circumferential view integrating histological, microsurgical, endoscopic,...
Management of complex thrombosed aneurysms the middle cerebral artery (MCA) is challenging. Lesions not amenable to endovascular techniques or direct clipping might require a bypass procedure with subsequent aneurysm occlusion. Various followed by surgical closure are available, but an unpredictable extension thrombus parent vessel and/or perforator vessels can occur. We presented multidisciplinary technique aim reduce invasiveness and complications.We present two patients, harboring giant...
OBJECTIVE Disparities in the epidemiology and growth rates of aneurysms between sexes are known. However, little is known about sex-dependent outcomes after microsurgical clipping unruptured intracranial (UIAs). The aim this study was to examine sex differences characteristics UIAs perform a propensity score–matched analysis using an international multicenter cohort. METHODS This retrospective cohort involved participation 15 centers spanning four continents. It included adult patients who...
Background: The lingula sphenoidalis and petrolingual ligament (PLL) are relevant anatomical landmarks when approaching lesions involving the posterior cavernous sinus, Meckel's cave, carotid canal. Intimately related to these structures, PLL runs on upper border of canal, between anterior process petrosal bone (APP), represents posteroinferior attachment lateral wall sinus. Given considerable variability in size configuration sphenoidalis, we sought define its morphometric patterns surgical...
Background: Less invasive techniques involving endoscopic assistance have been proposed for treatment of lesions the cavernous sinus, petrous apex, medial jugular foramen, upper and lower clivus, condylar regions. Performing a two-step CT-guided extended endoscope-assisted approach, we analyzed gains in visibility surgical freedom defined landmarks application.
Background: Discussion continues about the segmentation and nomenclature of intracranial internal carotid artery (ICA). Using 1996 schema that defined C1-C7 segments ICA, our study focuses on transition lacerum (C3) cavernous (C4) segments, including their meningeal relationships Meckel's cave (MC). embryological, histological, microsurgical, endoscopic analysis, we sought to better define between address controversy another possible segment C3 C4.
<h3>Objective</h3> Surgical nuances, outcome, complications and of a single centre surgical series SpinalAVMs (type II) treated at Niguarda Hospital (Milano, Italy) is presented. <h3>Methods</h3> A centre, retrospective case review patients that have been surgically in the last 10 years hereby Preoperative postoperative MRI angiograms reviewed. Patients assessed with Aminoff & Logue scale. <h3>Results</h3> 20 out 53 harbouring spinal vascular malformation I for true cord AVMs II). 12...
Conclusions:The goal in the management of spinal cord AVMs is to obliterate (partially or totally) SAVM, preserving neurological function and preventing future hemorrhagic events.Partial treatment may be sufficient improve prognosis dramatically.Conservative management, endovascular embolization and/or microsurgical resection are possible modalities.Personalized should consider patient's age, clinical presentation, SAVM angioarchitecture (associated aneurysms venous varix) flow (impaired...